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NPI Code Detail

MEDICARE: MS. ANNETTE KRISTINE SCOTT LMT

MEDICARE:  MS. ANNETTE KRISTINE SCOTT  LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist39230FL

General Provider Information

NPI Number : 1396945945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNETTE KRISTINE SCOTT LMT
Provider Business Mailing Address
First Line : 1112 W PLATT ST
Second Line :
City : TAMPA
State : FL
Zip : 33606-2142
Country : US
Telephone Number : 813-431-4144
Fax Number :
Provider Business Practice Location Address
First Line : 1112 W PLATT ST
Second Line :
City : TAMPA
State : FL
Zip : 33606-2142
Country : US
Telephone Number : 813-431-4144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2007
Last Update Date : 07/23/2007

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Directions to “ MS. ANNETTE KRISTINE SCOTT LMT” Practice Location

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